<div class="row-content am-cf">
    <div class="row">
        <div class="am-u-sm-12 am-u-md-12 am-u-lg-12">
            <div class="widget am-cf">
                <div class="widget-head am-cf">
                    <div class="widget-title am-cf">开票处理</div>
                </div>
                <div class="widget-body am-fr">
                    <form id="my-form" class="am-form tpl-form-line-form" method="post" action="">
                        <div class="am-form-group">
                            <label for="user_id" class="am-u-sm-3 am-form-label">用户ID </label>
                            <div class="am-u-sm-9">
                                <input type="text" class="tpl-form-input" name="user_id" value="" required>
                            </div>
                        </div>

                        <div class="am-form-group">
                            <label for="order_id" class="am-u-sm-3 am-form-label">订单ID </label>
                            <div class="am-u-sm-9">
                                <input type="text" class="tpl-form-input" name="order_id" value="" required>
                            </div>
                        </div>

                        <div class="am-form-group">
                            <label class="am-u-sm-3 am-form-label">开票类型</label>
                            <div class="am-u-sm-9">
                                <label class="am-radio-inline">
                                    <input type="radio" name="type" value="mail"> 邮寄发票
                                </label>
                                <label class="am-radio-inline">
                                    <input type="radio" name="type" value="email"> 邮箱发送发票
                                </label>
                            </div>
                        </div>

                        <div class="am-form-group">
                            <label class="am-u-sm-3 am-form-label">发票金额</label>
                            <div class="am-u-sm-9">
                                <input type="text" class="tpl-form-input" name="amount" value="" required>
                            </div>
                        </div>

                        <div class="am-form-group">
                            <label class="am-u-sm-3 am-form-label">开票内容</label>
                            <div class="am-u-sm-9">
                                <textarea name="content" rows="3" class="tpl-form-input"></textarea>
                            </div>
                        </div>

                        <div class="am-form-group">
                            <label class="am-u-sm-3 am-form-label">接收邮箱 / 地址</label>
                            <div class="am-u-sm-9">
                                <input type="text" name="receiver" class="tpl-form-input" value="">
                            </div>
                        </div>

                        <div class="am-form-group">
                            <div class="am-u-sm-9 am-u-sm-push-3">
                                <button type="submit" class="am-btn am-btn-secondary">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>